Problems paying medical bills among adults with diagnosed HIV in the United States

Details

• Alternative Title:
  J Assoc Nurses AIDS Care
• Personal Author:
  Luna-Gierke, Ruth E. ; Tie, Yunfeng ; Yuan, Xin ; Luo, Qingwei ; Beer, Linda ; Dasgupta, Sharoda
• Description:
  Problems paying medical bills may affect HIV outcomes among people with HIV (PWH), thus limiting progress toward achieving national HIV prevention goals. We analyzed nationally representative data from CDC's Medical Monitoring Project collected during 6/2018-5/2020. Among 8,108 PWH, we reported weighted percentages of characteristics and examined associations between problems paying medical bills and clinical outcomes using prevalence ratios with predicted marginal means, adjusting for potential confounding. Nineteen percent of PWH reported problems paying medical bills. Problems paying medical bills were more prevalent among persons who experienced homelessness (26.9% vs. 18.3%). People with problems paying medical bills were more likely to have adverse HIV outcomes and were more likely to have ≥1 emergency room visit (prevalence ratio [PR]: 1.59; 95% CI [1.51-1.68]) or hospitalization (PR: 1.72; 95% CI [1.55-1.91]) in the past year. Identifying PWH experiencing financial barriers and expanding access to safety net programs could improve access to care and outcomes.
• Subjects:
  Adult Health Expenditures HIV Infections Humans United States
• Keywords:
  Epidemiology HIV Public Health Surveillance Social Determinants Of Health
• Source:
  J Assoc Nurses AIDS Care. 34(5):432-439
• Pubmed ID:
  37487174
• Pubmed Central ID:
  PMC10527849
• Document Type:
  Journal Article
• Funding:
  CC999999/ImCDC/Intramural CDC HHSUnited States/
• Volume:
  34
• Issue:
  5
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha-512:cc7ecdcccb06e16ba2b236db39393d2c41692c511d8d91c22367991d99f2155bb7d01729acbd2ee638d7ad146a4c9da0ce52b45ec50d33ca168ab3373e421bb5
• Download URL:
  https://stacks.cdc.gov/view/cdc/133494/cdc_133494_DS1.pdf
• File Type:
  [PDF - 109.36 KB ]